NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

STACI CARTER KELLY, RPA
23 HAMMOND LN
PLATTSBURGH, NY12901-2000
 Phone: 518-561-1322
 Fax: 518-561-3420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACI CARTER KELLY · (Female)

NPI Number 1003029125
Status Active
Credentials RPA
Entity Individual
Enumeration date 05/07/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 008144
  • NY Other MC1287829 DEA
Hospital affiliation(s)
  • CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR - (Acute Care)
    75 BEEKMAN STREET
    PLATTSBURGH, NY 12901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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